HESI RN
HESI RN Maternal Newborn I Questions
Extract:
Question 1 of 5
A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's mother, the recent occurrence of which illness is most significant?
Correct Answer: D
Rationale: A recent untreated Group A Streptococcus sore throat is the primary risk factor for acute rheumatic fever, triggering an autoimmune response.
Question 2 of 5
During the admission procedure of a school age child, the child states, 'I'm going to have an operation.' Which response is best for the nurse to provide to this child?
Correct Answer: A
Rationale: Asking the child to explain their understanding assesses knowledge, addresses misconceptions, and supports age-appropriate communication.
Question 3 of 5
A father watching the admission of his newborn to the nursery notices that eye ointment is placed in the infant's eyes. He asks the nurse what is the purpose of the ointment. Which response by the nurse will best explain the purpose for administering the ointment?
Correct Answer: D
Rationale: Erythromycin ointment prevents ophthalmia neonatorum from gonorrhea or chlamydia, reducing blindness risk.
Question 4 of 5
A newborn is delivered by cesarean section to a mother who is HIV-positive. The mother received antiretroviral therapy during pregnancy. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Zidovudine within 6-12 hours reduces perinatal HIV transmission risk in newborns of HIV-positive mothers.
Extract:
History and Physical
Nurses' Notes
Flow Sheet
Laboratory Results
38-year-old primiparous client is seen in the outpatient obstetric office 2 weeks postpartum after a spontaneous vaginal birth of a full-term infant after rupture of membranes for 16 hours. The client was discharged on day 2, exclusively breastfeeding.
Question 5 of 5
For each assessment finding, click to indicate whether findings from this client's assessment are generally associated with mastitis, endometritis, or could be a sign of both conditions.
| Options | Mastitis | Endometritis | Both mastitis and endometritis |
|---|---|---|---|
| Pulse of 105 beats/minute - Both mastitis and endometritis | |||
| Feeling chilled, achy, and fatigued - Both mastitis and endometritis | |||
| Baby fed pumped breast milk - Mastitis | |||
| Pain rating of 4 on a 0 to 10 scale - Mastitis | |||
| Foul-smelling lochia rubra at 2 weeks postpartum - Endometritis | |||
| Temperature of 101.2° F (38.4°C) - Both mastitis and endometritis |
Correct Answer: B,D
Rationale: Tachycardia, chills, aches, fatigue, and fever are systemic signs of infection in both mastitis and endometritis. Feeding pumped milk and localized breast pain suggest mastitis due to milk stasis. Foul-smelling lochia is specific to endometritis, indicating uterine infection.